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Karissa Lynn Koerner
Specialist in Bay Shore, New York
NPI 1073945580

Karissa Lynn Koerner is a Specialist based in Bay Shore, NY. Karissa Lynn Koerner practices in Bay Shore, NY. The NPI Number for Karissa Lynn Koerner is 1073945580 and holds a License No. 695120121 (New York).

The current practice location address for Karissa Lynn Koerner is 179 Spur Dr S, Bay Shore, NY and can be reached out via phone at 631-666-5762.

Location: 179 Spur Dr S, Bay Shore, NY, 11706-3908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073945580
Provider Name
Karissa Lynn Koerner
Credential
Provider Entity Type
Individual
Gender
Female
Address
179 Spur Dr S, Bay Shore, NY, 11706-3908
Phone Number
631-666-5762
Fax Number
Provider Enumeration Date
08/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
179 Spur Dr S
City
Bay Shore
State
New York
Zip
11706-3908
Phone Number
631-666-5762
Fax Number
person
Provider Business Mailing Address Details
Address
179 Spur Dr S
City
Bay Shore
State
New York
Zip
11706-3908
Phone Number
631-666-5762
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
695120121 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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